MedicarePartD.guide

A non-government resource built from CMS public data

CEFADROXIL 1000 mg Tablet

Coverage in New York (CMS PDP Region 03).

3 of 10 stand-alone Part D plans in New York cover this drug on tier 2–3.

Lowest 30-day cost $6.00 at a preferred pharmacy. No plan applies a prior authorization, step therapy or quantity limit.

90 Medicare Advantage plans in NY do cover it

Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. NY: 90 plans.

Every plan that covers it

PlanTier30-day preferred90-day mailUnit costEst. 30-day fillRestrictions
SilverScript Choice (PDP)$116.00/mo premium · $615.00 deductible2Generic$6.00$18.00$5.8383—None
HealthSpring Assurance Rx (PDP)$35.70/mo premium · $615.00 deductible3Preferred Brand25%25%$5.2192—None
HealthSpring Extra Rx (PDP)$91.60/mo premium · $615.00 deductible3Preferred Brand17%17%$4.9255—None

Cost-sharing is the initial coverage phase at a preferred pharmacy; a percentage is coinsurance of the plan’s negotiated price, and the deductible may apply first. CMS publishes a negotiated price per unit, so the 30-day fill is shown only where the plan’s own quantity limit supplies the quantity.

See coverage in all 39 regions →